Individual provider · Type 1 NPI

Timothy Terrell Hubbard, C.S.A., C.S.T.

Surgical Physician Assistant · Lawrenceville, GA

NPI number 1780675041 Active

Practice location

321 Kirkland Dr
Lawrenceville, GA 30044-2023

Call (404) 993-5096 Map

Fax (678) 442-1158

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2663 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1780675041

Timothy Terrell Hubbard, C.S.A., C.S.T.'s National Provider Identifier is 1780675041, issued on Nov 4, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 8, 2007.